Sistema Gastrointestinal e Digestivo

Abstrato

A Rare Case of Gastrointestinal Obstruction: Bouveret Syndrome

Ruben Gonzalo Gonzalez, Marian de Andrés Fuertes, Sara Regaño Diez, José Luis Conty Serrano, Enrique José San Emeterio González, Guillermo Soler Dorda, Francisco Javier Gil Piedra

Bouveret Syndrome (BS) is a rare type of gallstone ileus in which a gallstone enters the intestinal tract via a cholecystoenteric fistula and is lodged in the duodenum or the stomach. It should be considered in any patient who presents with pneumobilia without recent endoscopic retrograde cholangiopancreatography (ERCP) or biliary surgery. Morbidity and mortality rates have decreased in recent years, but still remain high, at 25%, and may be related to the advanced age of the typical patient and their resulting comorbidities, as well as to diagnostic delay. Endoscopy is preferred as the first therapeutic option, but is frequently unsuccessful, and surgery is often required. We present a case report of a patient with symptoms of gastric outlet obstruction, with interesting radiological findings and successful surgical treatment after failure of endoscopic techniques.